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Skills

  • Claims reconciliation
  • Analytical problem solving
  • Vendor invoice processing
  • Audit coordination
  • Financial Management
  • Budgeting proficiency
  • General accounting
  • Regulatory filings
  • Account Aging Report Generation
  • Cost accounting

Work Experiences

  • Communicated with patients regarding billing inquiries.
  • Coordinated with physicians and healthcare providers to ensure accuracy in procedure coding, reducing rework by 47%.
  • Assisted with documentation requests for legal cases related to billing disputes, helping the company win 90% of claims.
  • Achieved a 43% first-pass approval rate.
  • Achieved a 46% reduction in billing errors.
  • Analyzed claim trends.
  • Achieved a 25% approval rate for QuickBooks claims.
  • Collaborated with the accounts receivable department to streamline the payment collection process, reducing overdue invoices by 60%.
  • Transported SAP to 18 months customer locations.
  • Communicated with patients regarding billing inquiries, resolving issues and increasing patient satisfaction by 80%.

Summaries

  • With 14 years of experience, I'm a focused billing clerk.
  • Clear understanding of stakeholder engagement and project management as well as client relations training.
  • Recognized on a regular basis for outstanding performance and contributions to the Healthcare industry's success.
  • Accomplished Billing Coding Specialist.
  • Billing Coding Specialist is a multi-talented Billing Coding Specialist who is consistently rewarded for planning and operational improvements.
  • Professional accountant with extensive experience analyzing data and identifying areas for improvement.
  • Adept at using coding tools.
  • Achieved a 98% adherence rate during regulatory audits in 2018.
  • Adept in claims submission and reconciliation, contributing to $16 in adjusted claims by identifying billing discrepancies during bi-annual audits.
  • Skilled at establishing positive relationships with clients and vendors, as well as managing accounts to reduce outstanding balances.

Accomplishments

  • Monitored payer guidelines to ensure the billing practices remained in compliance with government regulations, avoiding penalties.
  • Implemented automated coding solutions that streamlined billing operations, reducing claim submission time by 22%.
  • Reduced rework on claims submission by 62% by auditing all coding prior to submission, ensuring proper billing documentation.
  • Effectively managed denial follow-up process, recovered $2 in denied claims over the course of two years.
  • Collaborated with payers during accounts receivable follow-up, decreasing outstanding claims by $2 in one year.
  • Automated invoicing and billing procedures, resulting in a 74% reduction in labor hours related to manual claim generation.
  • Resolved product issue through consumer testing.
  • Partnered with the finance team to reconcile monthly billing data, ensuring a 15% increase in the accuracy of financial reporting.
  • Proactively identified incorrect procedure codes impacting reimbursement, recovering $7 in underpaid claims over several months.
  • Successfully identified and corrected discrepancies in coding, leading to a reimbursement increase of $16 in three years.

Affiliations

  • National Alliance of Medical Auditing Specialists (NAMAS)
  • Association of Medical Billing and Coding Professionals
  • Certified Professional Biller (CPB) Certification Program
  • Project Management Institute
  • American Society of Safety Professionals
  • Advanced ICD-10-CM/PCS Training Programs
  • National Association of Social Workers
  • Society of Human Resource Management
  • Involvement in local AAPC chapter (Chicago)
  • Association for Computing Machinery

Certifications

  • CompTIA Network+
  • Certified Medical Reimbursement Specialist (CMRS) by AMBA
  • Project Management Professional (PMP)
  • Certified Health Data Analyst (CHDA) by AHIMA
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Healthcare Access Associate (CHAA) by NAHAM
  • Certified Billing and Coding Specialist (CBCS) by NHA
  • Certified Patient Account Technician (CPAT) by AAHAM
  • Microsoft Certified Systems Engineer (MCSE)
  • CompTIA Security+

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